THE HONORS COLLEGE

COMMUNITY SERVICE FORM

 

The Honors College Community Service experience allows students the opportunity to work within and get to know their community and its needs.  It also provides students opportunities for service and leadership.

 

Name of Student (print or type)

 

Name of Supervisor (print or type)

 

Name of Service Organization (print or type)

 

Brief Description of type of Service to be performed

 

 

 

 

 

 

 

 

 

Duration of Service.  From                                             to

 

Please specify number of hours                                                (weekly, bi-weekly, monthly)

                                                                                                            (circle one)

 

 

Student Signature                                                          Date

 

 

Supervisor Signature                                                     Date

 

 

HC Director Signature                                      Date

 

 

 

A letter from the supervisor of the community service group should be submitted once the student completes the service.  The letter should provide information on the nature of the community service and how the student performed.  This will be part of the student’s file in The Honors College.  We encourage the supervisor to reflect on how this letter might be helpful to the student’s graduate school application and/or employment opportunities.